NPI age
2 years
Enumerated 2024-01-01
● Active
Type 1 · Individual
Lewis Gordon
Gordon is 1 of 26 clinical medical laboratory providers in Marietta and 1 of 621 in Georgia.
Primary specialty
Clinical Medical Laboratory
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2025-09-11
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 621 active clinical medical laboratory providers in Georgia.
NPI age
2 years
↓ 3 yr below median (5 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
12% of peers hold subspecialties
NPI lifetime · 2024 → 2026
2024-01Enumerated in NPPES
2024
2026
Where they practice
Practice location
1857 Keith Dr Sw
Marietta, GA 300644013
Mailing address
1857 Keith Dr Sw
Marietta, GA 300644013
Specialties
-
Clinical Medical Laboratory Primary(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Recently enumerated nearby: 2 new clinical medical laboratory providers have been added in Marietta in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.